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Right to Health of Internally Displaced Persons - IDP SriLanka

Right to Health of Internally Displaced Persons - IDP SriLanka

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However though there is a scarcity <strong>of</strong> human resources and the legal<br />

duties <strong>of</strong> the preventive health sec<strong>to</strong>r are being unable <strong>to</strong> fulfill, the<br />

dedicated health staff have managed <strong>to</strong> prevent further health disasters<br />

following the disasters. But in some areas, it was reported that though<br />

they have sufficient staff, day <strong>to</strong> day visits are not being done and due <strong>to</strong><br />

lack <strong>of</strong> moni<strong>to</strong>ring system regarding their conduct.<br />

The changes <strong>to</strong> ethnic composition <strong>of</strong> some districts after displacement,<br />

have also posed some administrative issues in public health sec<strong>to</strong>r. In<br />

Puttalam, in 1981 there were 83 % <strong>of</strong> Sinhalese, 17 % <strong>of</strong> Tamil speaking<br />

persons. However in 2001; the Tamil speaking people in the district has<br />

been increased up<strong>to</strong> 26 %t because <strong>of</strong> the large number <strong>of</strong> displaced<br />

Muslim community from the Northern Province after 1989. Therefore it<br />

is obvious administrative decisions such as the language ability <strong>of</strong> the<br />

government staffs should be revised according <strong>to</strong> the new statistics at<br />

least in the relevant areas. For instance, in Puttalam MOH area there<br />

about 25,000 Tamil speaking <strong>IDP</strong>s and among 4 PHIs only one can speak<br />

Tamil and among 19 PHMs only 3 can manage with Tamil language.<br />

Language <strong>of</strong> these staffs is imperative because in relocations, the<br />

knowledge on environmental sanitation and family health issues have <strong>to</strong><br />

be communicated <strong>to</strong> the displaced community by these <strong>of</strong>ficers.<br />

7.3. Shelter, water, sanitation and hygiene and disease prevalence<br />

<strong>Right</strong> <strong>to</strong> adequate housing, water, sanitation and hygiene is clearly<br />

enshrined in the human rights sphere. These rights are combined with<br />

other human rights such as right <strong>to</strong> live in security and with dignity.<br />

However, concerning displaced people this is quite different. After<br />

loosing their natural habitats and wealth, they are compelled <strong>to</strong> live<br />

either in community centers or with their friends and relatives. It was<br />

very much obvious during the study that the basic living standards <strong>to</strong> live<br />

in dignity are not being observed at the temporary shelters, welfare<br />

centers and in relocations. It is estimated that this catastrophe is being<br />

49<br />

“Population by ethnic group and district, Census 1981 & 2001” ,Department <strong>of</strong><br />

Census and Statistics <strong>of</strong> Sri Lanka,<br />

http://www.statistics.gov.lk/Abstract_2006/abstract2006/table%202007/CHAP%202/<br />

AB2-11.pdf<br />

50<br />

Observed in discussion with MOH Puttalam.<br />

45

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